Delta Regional Medical Center - West Campus
,
Delta Regional Medical Center - West Campus. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN253461
Procedures & prices
Hospital-published price lines. These are billing-code items from the hospital transparency file, not a personalized estimate. Cash is the self-pay price; gross is the pre-discount list price.
Price definitions
- Cash
- — self-pay price (no insurance)
- Gross
- — chargemaster list price; the pre-discount sticker rate, rarely what anyone pays
- Negotiated range
- — min–max of rates the hospital negotiated with insurers
- Payers
- — number of insurers with a published rate (“0” / “—” = none)
Available here:CashGross listInsurer-negotiated rates were not published for these rows.
- Unlisted Molecular PathologyLab testCPT 81479Hospital-published line item$11cashGross $21
- Injection, Depo-Estradiol Cypionate, Up To 5 MgDrugHCPCS J1000Hospital-published line item$11cashGross $21
- Dtap Vaccine < 7 Yrs IMProcedureCPT 90700Hospital-published line item$11cashGross $22
- Chorionic Gonadotropin AssayLab testCPT 84703Hospital-published line item$11cashGross $22
- Remove Cva Device ObstructImagingCPT 75901Hospital-published line item$11cashGross $22
- Glucose; Bld By Monitor DeviceLab testCPT 82962Hospital-published line item$11cashGross $22
- Cabergoline, Oral 0.25mgDrugHCPCS J8515Hospital-published line item$11cashGross $22
- Injection, Granisetron Hydrochloride, 100 McgDrugHCPCS J1626Hospital-published line item$11cashGross $23
- Igg 1 2 3 OR 4 EachLab testCPT 82787Hospital-published line item$12cashGross $23
- Ova And Parasites SmearsLab testCPT 87177Hospital-published line item$12cashGross $23
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
Unlisted Molecular Pathology Lab testCPT 81479Hospital-published line item | $11 | $21 |
Injection, Depo-Estradiol Cypionate, Up To 5 Mg DrugHCPCS J1000Hospital-published line item | $11 | $21 |
Dtap Vaccine < 7 Yrs IM ProcedureCPT 90700Hospital-published line item | $11 | $22 |
Chorionic Gonadotropin Assay Lab testCPT 84703Hospital-published line item | $11 | $22 |
Remove Cva Device Obstruct ImagingCPT 75901Hospital-published line item | $11 | $22 |
Glucose; Bld By Monitor Device Lab testCPT 82962Hospital-published line item | $11 | $22 |
Cabergoline, Oral 0.25mg DrugHCPCS J8515Hospital-published line item | $11 | $22 |
Injection, Granisetron Hydrochloride, 100 Mcg DrugHCPCS J1626Hospital-published line item | $11 | $23 |
Igg 1 2 3 OR 4 Each Lab testCPT 82787Hospital-published line item | $12 | $23 |
Ova And Parasites Smears Lab testCPT 87177Hospital-published line item | $12 | $23 |
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